DR. SUSAN NILETTE YOUNG


Address: 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236
Phone: 9042236414

DR. SUSAN NILETTE YOUNG (NPI# 1215039656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215039656
Entity Type Individual
Full Name DR. SUSAN NILETTE YOUNG
Credential PSY. D.
Practice Address 13400 Sutton Park Dr S
Suite 1504
Jacksonville
FL 32224-0236
Mailing Address 600 Ironwood Dr
Unit 635
Ponte Vedra Beach
FL 32082-5219
Practice Telephone 9042236414
Practice Fax Number 9042236418
Mailing Telephone 9044773124
Enumeration Date 2006-09-05
Last Update Date 2011-10-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist PY7306 FL Behavioral Health & Social Service Providers
N 103T00000X Psychologist PY 7306 FL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PY 7306 FL Behavioral Health & Social Service Providers

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1336406230 Susan Elizabeth Young Occupational Therapist 11 Stillwater Ave, Massapequa, NY 11758-8419 2012-04-16
1194961987 Susan L Young Speech-Language Pathologist 250 Barclay Ave, Staten Island, NY 10312-4802 2008-12-28
1760698260 Susan Mary Young Marriage & Family Therapist 9263 Dee Rd, Des Plaines, IL 60016-4227 2007-05-14
1831245083 Susan Amy Young Physical Therapist 105 Jupiter St, Sheppard Afb, TX 76311-1011 2007-01-27
1346293560 Susan Luke Young Social Worker University Psychiatric Assoicates, Pa, 8320 University Executive Park Dr, Suite 104, Charlotte, NC 28262 2006-05-18
1467430496 Susan Blythe Young Surgery 1301 Ne 1st St, Suite 200, Pryor, OK 74361-8850 2006-01-09
1225015126 Susan E Young Dentist 2807 Wilmington Rd, New Castle, PA 16105-1263 2005-12-30

Office Location

Street Address 13400 SUTTON PARK DR S
SUITE 1504
City JACKSONVILLE
State FL
Zip Code 32224-0236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255331237 Randi Most Clinical Neuropsychologist 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 2005-07-30
1588122188 Rayna Vaught Godfrey Psychologist 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 2019-03-04
1457755530 Healing Hearts Therapy LLC Counselor 13400 Sutton Park Dr S, Suite 1001-4/5, Jacksonville, FL 32224-0236 2014-10-17
1093128878 Haley Dawson Counselor 13400 Sutton Park Dr S, Ste 1001, Jacksonville, FL 32224-0236 2014-06-09
1093099970 Theresa Maria Dinuzzo Psychologist 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 2011-10-10
1235455239 Providential Health Care, Inc In Home Supportive Care 13400 Sutton Park Dr S, Suite 1101, Jacksonville, FL 32224-0236 2010-04-15
1295965176 Ian Seth Otto Speech-Language Pathologist 13400 Sutton Park Dr S, Suite 1101, Jacksonville, FL 32224-0236 2009-07-25
1427203736 Liza Cristin Provenzano Counselor 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 2008-12-01
1699948547 Sharon A Knapp Massage Therapist 13400 Sutton Park Dr S, Suite 1502, Jacksonville, FL 32224-0236 2008-04-10
1770788390 Susan N Young Inc Clinical Neuropsychologist 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 2007-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974372 Noelle Parker Specialist/Technologist 1 Unf Drivve, Jacksonville, FL 32224 2020-02-18
1124685102 Charcy Rene Stiller Specialist/Technologist 1 Unf Dr., Jacksonville, FL 32224 2019-05-24
1265097513 Mayo Clinic Jacksonville Ambulance 13970 Zumbro Dr, Jacksonville, FL 32224 2019-05-02
1639681471 Brigantti Anesthesia & Spine Care Clinic/Center 1361 13th Ave South Suite #210, Jacksonville, FL 32224 2017-11-02
1093240061 Beric Emilio Berlioz Anesthesiology 4500 San Pablo Rd S # J, Jacksonville, FL 32224 2017-04-26
1609240746 Matthew James Dailey Nurse Anesthetist, Certified Registered 2500 San Pablo Rd S, Jacksonville, FL 32224 2015-11-29
1003299603 Upscale Personal Care Home Assisted Living Facility 4375 Autumn River Road, Jacksonville, FL 32224 2015-07-01
1629459375 Bellanid Fonseca Social Worker 3694 Summerlin Ln E, Jacksonville, FL 32224 2015-06-17
1164840500 Nicholas Scotto Physical Therapist 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 2014-04-02
1497093454 Quicker Care Urgent Care Point of Service 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 2013-01-27
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447604806 Rujvi Kamat Clinical Neuropsychologist 1235 San Marco Blvd Fl 4, Jacksonville, FL 32207-8554 2016-04-21
1750744405 Andrew J Ruffett Phd LLC Clinical Neuropsychologist 11869 Curlew Way, Jacksonville, FL 32223-1939 2016-03-31
1629499819 Bay Area Psychology Associates Clinical Neuropsychologist 302 Woodberry Pl, Jacksonville, NC 28540-4264 2013-12-14
1356778898 Behavioral Health of North Florida Pllc Clinical Neuropsychologist 3733 University Blvd W Ste 214, Jacksonville, FL 32217-2128 2013-09-30
1093939498 Christopher Rackley Clinical Neuropsychologist 1660 Prudential Dr Ste 210, Jacksonville, FL 32207-8185 2007-04-13
1336256353 Elizabeth Tannahill Glen Keymer Clinical Neuropsychologist 751 Oak St Ste 120, Jacksonville, FL 32204-3359 2006-08-24
1215989991 David S Sabsevitz Clinical Neuropsychologist 4500 San Pablo Rd S Dept Of, Jacksonville, FL 32224-1865 2006-05-17
1902880537 Andrew J Ruffett Clinical Neuropsychologist 3617 Crown Point Rd, Ste 6, Jacksonville, FL 32257-9010 2005-12-06
1255331237 Randi Most Clinical Neuropsychologist 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0236 2005-07-30
1619973997 Nicole Annette Hagedorn Clinical Neuropsychologist 2680 Henderson Dr Ste 5, Jacksonville, NC 28546-5297 2005-06-22
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Competitor

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City JACKSONVILLE
Zip Code 32224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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